1821585225 NPI number — DR. SWARNARAJI ARUNA AMAL DOSS MD

Table of content: DR. SWARNARAJI ARUNA AMAL DOSS MD (NPI 1821585225)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821585225 NPI number — DR. SWARNARAJI ARUNA AMAL DOSS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AMAL DOSS
Provider First Name:
SWARNARAJI
Provider Middle Name:
ARUNA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821585225
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/23/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
465 SOUTH ST STE 103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRISTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07960-6442
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
197-382-9408
Provider Business Mailing Address Fax Number:
973-829-4080

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
435 SOUTH ST STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORRISTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07960-6422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-971-7165
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  25MA11074200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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